| NPI | 1720145022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA M CALDWELL President 856-779-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI0203930) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |